MA68Remark Code (RARC)ActiveInformational Alert
MA68 Remark Code - Incomplete Secondary Insurance Info
The MA68 remark code indicates that the payer did not crossover the claim to secondary insurance due to incomplete information. This alert serves as a prompt for the biller to ensure that all necessary secondary insurance details are provided for proper claim routing.
What This Alert Tells You
The MA68 remark is informational and is not associated with any specific adjustment or denial. It appears when claims are submitted with missing secondary insurance information, signaling the need for completeness in future submissions.
Common Scenarios
1A provider submits a claim for a patient with dual coverage, but the secondary insurance details are incomplete on the claim form.
→ The MA68 remark code indicates that the payer has not processed the crossover to the secondary insurer because key information was missing, highlighting the need to provide complete secondary insurance data.
2A claim for a service rendered is sent to a primary payer, but the secondary insurance information was not filled out correctly in the billing software.
→ The appearance of the MA68 remark code signifies that the claim could not be routed to the secondary insurance, prompting the biller to verify and correct the secondary insurance information.
3A patient has multiple insurance plans, but the claim submitted only lists one insurer without the necessary secondary details.
→ The MA68 alert indicates that the secondary claim crossover did not occur due to the lack of complete secondary insurance information, suggesting the need for thorough verification of patient insurance details.
What to Do
- Verify that all secondary insurance information is complete and accurately entered on the claim.
- If applicable, use the PLANID of the insurer to facilitate correct routing of the claim.
- Ensure that future claims include all necessary details to avoid similar alerts.
What to Check
- The claim form submitted to ensure all fields for secondary insurance are filled out correctly.
- Patient insurance records for completeness of information regarding secondary coverage.
- Billing software settings to confirm that secondary insurance details are being captured accurately.